Evaluation of the Private Hospital Stream junior doctor training program

Meeting the demand for junior doctors in rural Australia (an evaluation)

Client:
Commonwealth Department of Health and Aged Care

Health workforce shortages and maldistribution continue to constrain the equitable delivery of healthcare services to much of the Australian population living outside of metropolitan settings. The Private Hospital Stream (PHS) funds private hospitals to deliver medical internships for international students and support junior doctors to work in expanded settings (including partnerships between private hospital providers, rural public hospitals, and other training settings working as part of ‘expanded training networks'). Its goal was to strengthen the medical workforce supply in rural, regional and remote areas.

Activites Included

  • Evaluation design workshop and development of an Evaluation Framework and plan.
  • Quantitative data analysis of the program's datasets, the Medical Education and Training (MET) dataset, National Medical Training Survey results, relevant ABS and AIHW data.
  • In person case study visits with each of the nine funded hospitals.  
  • We collected the views of 72 hospital representatives, 22 junior doctors and 16 representatives from expanded training networks
  • Consultation with a broad range of stakeholders representing the interests of the Commonwealth, States and Territories, and medical graduates and interns, comprising 30 stakeholders from 12 organisations.
  • A Findings Workshop with key Commonwealth representatives was held prior to finalising the evaluation report and recommendations.

Process

The approach designed by HealthQ provided each of the nine funded program sites to showcase their approach, achievements and outcomes as part of the evaluation case study.  

This approach valued the unique context and design implemented at each site and afforded local management and executives an opportunity to celebrate the program successes as well as addressing the evaluation's lines of enquiry in a way that was reflective and collaborative.

Our assessment of the expanded training networks utilised a partnership assessment tool that enabled partners to reflect on the partnership strengths and opportunities for improvement, often delivering insights to each partner beyond the scope of the evaluation.

Outcome

The evaluation identified that private hospitals have made a valuable contribution to national junior doctor training capacity. The evaluation recommended areas of enhancement and redesign to changes in environmental factors (e.g. industrial relations, training reform, changes in supervision arrangements), policy changes and an emerging contemporary evidence base.